Individual
CARLA BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 E 67TH ST, NEW YORK, NY 10065-6212
(212) 746-4478
Mailing address
260 E 67TH ST, NEW YORK, NY 10065-6212
(212) 746-4478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201969
NY
Other
Enumeration date
10/09/2006
Last updated
08/06/2015
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